두경부암의 방사선치료에서 치료실패의 요인에 관한 분석

김귀언(Gwi E Kim) 대한두경부종양학회 1990 대한두경부 종양학회지 Vol.6 No.1

This review will be discussed the various causes of radiation failure for head and neck cancers from radiobiologic perspective and also provided a few clinical data to illustrate the basic principle. A knowledge about multiplicity of factors that may underlie failure of radiation treatment is essential for rational application of new treatment strategies. Furthermore, it is important to distinguish causes of failure that can be reduced or minimized by application of conventional treatment from one are potentially remediable by new treatment strategies, and one that are not amenable to some modification of radiotherapeutic approach.

Industrial robustness linked to the gluconolactonase from Zymomonas mobilis

Alvin, Alfonsus,Kim, Junhyun,Jeong, Gwi-Taek,Tsang, Yiu Fai,Kwon, Eilhann E.,Neilan, Brett A.,Jeon, Young Jae Springer-Verlag 2017 Applied Microbiology and Biotechnology Vol.101 No.12

<P>The physiological characteristics and the potential gluconolactone production of the gluconolactonase-deficient strain, Zymomonas mobilis ZM4 gnl Delta, were investigated via growth inhibitory assay and biotransformation of glucose and fructose into gluconolactone and sorbitol, respectively. The results of ethanol fermentation studies performed in the presence of high concentration of glucose (> 200 g l(-1)) under fermentative or aerobic conditions indicated that a significant reduction of volumetric ethanol productivity from the strain of ZM4 gnl Delta was noticeable due to the reduced rates of specific growth, sugar uptake, and biomass yield as compared with those of the parental strain ZM4. The biotransformation prepared at pH 6.0 using the permeabilized cell indicated that gluconic acid from ZM4 gnl Delta was still produced as a major product (67 g l(-1)) together with sorbitol (65 g l(-1)) rather than gluconolactone after 24 h. Only small amount of gluconolactone was transiently overproduced up to 9 g l(-1), but at the end of biotransformation, all gluconolactone were oxidized into gluconic acid. This indicated that autolysis of gluconolactone at the pH led to such results despite under gluconolactonase inactivation conditions. The physiological characteristics of ZM4 gnl Delta was further investigated under various stress conditions, including suboptimal pH (3.5 +/- 6.0), temperature (25 +/- 40 A degrees C), and presence of growth inhibitory molecules including hydrogen peroxide, ethanol, acetic acid, furfural, and so forth. The results indicated that ZM4 gnl Delta was more susceptible at high glucose concentration, low pH of 3.5, and high temperature of 40 A degrees C and in the presence of 4 mM H2O2 comparing with ZM4. Therefore, the results were evident that gluconolactonase in Z. mobilis contributed to industrial robustness and anti-stress regulation.</P>

Carbogen 흡입하에서 Fluosol-DA 20%의 투여가 이식동물 종양의 산소분압에 미치는 영향

이인태,김귀언,송창원,Lee Intae,Kim Gwi E.,Song Chang W. The Korean Society for Radiation Oncology 1990 Radiation Oncology Journal Vol.8 No.1

SCK 종양세포를 이식받은 mice에 Fluosol-DA $20\%$를 정맥주사한 후 이 종양세포를 추출하여 in vitro 실험으로 측정해 본 방사선 체포생존곡선의 Do와 Dq의 값은 Fluosol-DA $20\%$를 투여하지 않은 대조군과 대동소이하여 Fluosol-DA $20\%$가 방사선 감수성 자체에 미치는 영향은 미미하다고 해석되었다. 또한 Fluosol-DA $20\%$만을 투여한 종양의 산소분압($PO_2$)에는 별 변화가 없었으나 Fluosol-DA $20\%$를 Carbogen 흡입하에 투여시킨 종양에선 대조군의 산소분압 중앙값 4 mmHg가 62mmHg로 10배이상 증가되어 reoxygenation effect를 직접 증명할 수 있었고 hypoxic cell fraction도 약 8배정도 감소됨을 규명하였다. 한편 Carbogen만을 단독으로 흡입시킨 종양의 경우에도 산소분압의 증가를 관찰할 수 있었으나 Fluosol-DA $20\%$ 병용군보다는 산소분압상승 효과가 미약함을 관찰할 수 있었다. 따라서 Fluosol-DA $20\%$에 의한 방사선 반응의 향상은 방사선 감수성의 증가보다는 reoxygenation의 결과이며 reoxygenation 효과를 개선하기 위해서는 Fluosol-DA의 단독투여보다는 Car-bogen 흡입하에서 Fluosol-OA $20\%$의 투여가 이상적이라는 결론을 얻었다. In the present study, a perfluorchemical emulsion (Fluosol-DA $20\%$) did not alter $D_o\;and\;D_q$ values on cell survival curve, indicating that the lack of a direct effect of Fluosol-DA $20\%$ on cellular radiosensitivity in vitro. The effect of Fluosol-DA $20\%$ injection in combination with carbogen breathing was determined on the hypoxic cell fraction in SCK tumors. The hypoxic cell fraction in control SCK tumors was 0.39. This value decreased to 0.05 when the mice were i.v. injected with 12 ml/kg of Fluosol-DA $20\%$ in a carbogen atomosphere. The measured mean and median $PO_2$ values with a microelectrode in the control tumors was 9 mmHg and 4 mmHg, respectively. The treatment of the SCK tumors in the host mice with injected Fluosol-DA $20\%$ in combination with carbogen breathing increased the mean and median $PO_2$ values to 67 mmHg and 62 mmHg, respectively. Using carbogen breathing alone caused a moderate increase of tumor $PO_2$. But Fluosol-DA $20\%$ injection alone caused little change $PO_2$ in the tumor. It was concluded that the combination of Fluosol-DA injection and carbogen breathing is an effective means to improve oxygenation of tumors.

Understanding the Response Characteristics of X-ray Verification Film

Yeo Inhwan,Seong Jinsil,Chu Sung Sil,Kim Gwi Eon,Suh Chang Ok,Burch Sandra E.,Wang Chris K. The Korean Society for Radiation Oncology 1998 Radiation Oncology Journal Vol.16 No.4

목적 : 본 연구는 상용되는 CEA TVS 필름의 감성과 현탁재질을 Kodak X-Omat V 필름과 비교하여 이해하는 것을 목표로 한다. 대상 및 방법 : 이 목표를 위해 전자, 광자 및 가시광선의 복합방사선에 노출된 X 선 필름의 특성커브(H & D curve)에 대한 해석적 표현식을 유도해 내었다. 이 수학적 공식은 반응율 및 target-hit 이론에 근거하여 전개되었다. 기존의 표현식과는 다르게 이것은 필름의 광밀도를 AgBr 입자크기 및 함유량과 같은 현탁재질과 관련시킨다. 또한 광자와 전자에 대한 것과 상대하여 필름의 가시광선에 대한 반응성을 특징짓는 정량적 인자(양자)를 유도해 내었다. 즉, 우리는 필름의 현탁재질을 그것의 감성을 근거로 알게 해 주는 수식과 양자를 유도해 내었다. 이러한 해석적인 연구의 사용을 보이기 위하여 CEA와 Kodak Verification 필름을 전자, 광자, 및 가시광선으로 이루어진 복합방사선에 노출시키고 그 실험결과를 적절히 해석하였다. 결과 : 우리는 아래를 논증하였다. (1) 임계밀도는 AgBr 함유량이 증가함에 따라 증가한다. (2) 필름이 가시광선에 노출되었을 때 문턱선량까지 도달하는 데에 걸리는 시간은 AgBr 입자크기가 증가함에 따라 감소한다. (3) Kodak 필름이 보다 더 큰 입자를 함유한 반면 CEA 필름은 더 많은 양의 AgBr을 함유하고 있다. 이러한 결과는 차후에 필름제작자가 제공한 자료로 뒷받침되었다. 결론 : 본 연구는 X선 필름의 반응성을 그 현탁재질에 관련하여 이해하기 위한 해석적, 실험적인 도구를 제시하였다. Purpose : This study is intended to understand the sensitometric characteristics and the emulsion properties of the commercially available CEA TVS film in comparison with the Kodak X-Omat V film. Materials and Methods : For this purpose, we have formulated an analytic expression of the characteristic curves for x-ray film exposed to mixed radiation of electrons, photons, and visible light. This mathematical expression was developed based on reaction-rate and target-hit theories. Unlike previous expressions. it relates optical density to emulsion properties such as grain size and silver bromide content We have also developed a quantity which characterizes the film response to visible light relative to that to photons and electrons. This quantity could be expressed as a function of grain area. Thus, we have developed mathematical expressions and quantities with which the emulsion properties of the films can be revealed based on the sensitometric characteristics. Demonstrating the use of this analytical study, we exposed CEA and Kodak verification films to the mixed radiation of electrons, photons, and visible light, and interpreted the experimental results accordingly. Results : We have demonstrated that: (1) the saturation density increases as the silver bromide content increases, (2) the time required to reach the threshold dose (to which the film begins to respond) when films are exposed to visible light decreases as the grain size increases, and (3) the CEA film contains more silver bromide. whereas the Kodak film contains larger grains. These findings were supported by the data provided by the manufacturers afterward. Conclusion : This study presented an analytical and experimental basis for understanding the response of X-ray film with respect to the emulsion properties.

Understanding the Response Characteristics of X-ray Verification Film

여인환(Inhwan J. Yeo),성진실(Jinsil Seong),추성실(Sung Sil Chu),김귀언(Gwi Eon Kim),서창옥(Chang Ok Suh),Sandra E. Burch, Chris K. Wang 대한방사선종양학회 1998 Radiation Oncology Journal Vol.16 No.4

목 적 : 본연구는 상용되는 CEA TVS 필름의 감성과 현탁재질을 Kodak X-Omat V 필름과 비교하여 이해하는 것을 목표로 한다. 대상 및 방법 : 이 목표를 위해 전자, 광자, 및 가시광선의 복합방사선에 노출된 X 선 필름의 특성커브(H & D curve)에 대한 해석적 표현식을 유도해 내었다. 이 수학적 공식은 반응율 및 target-hit 이론에 근거하여 전개되었다. 기존의 표현식과는 다르게 이것은 필름의 광밀도를 AgBr 입자크기 및 함유량과 같은 현탁재질과 관련시킨다. 또한 광자와 전자에 대한 것과 상대하여 필름의 가시광선에 대한 반응성을 특징짓는 정량적 인자(양자)를 유도해 내었다. 즉, 우리는 필름의 현탁재질을 그것의 감성을 근거로 알게 해 주는 수식과 양자를 유도해 내었다. 이러한 해석적인 연구의 사용을 보이기 위하여 CEA와 Kodak Verification 필름을 전자, 광자, 및 가시광선으로 이루어진 복합방사선에 노출시키고 그 실험결과를 적절히 해석하였다. 결 과 : 우리는 아래를 논증하였다. (1) 임계밀도는 AgBr 함유량이 증가함에 따라 증가한다. (2)필름이 가시광선에 노출되었을 때 문턱선량까지 도달하는 데에 걸리는 시간은 AgBr입자크기가 증가함에 따라 감소한다. (3) Kodak 필름이 보다 더 큰 입자를 함유한 반면 CEA 필름은 더 많은 양의 AgBr을 함유하고 있다. 이러한 결과는 차후에 필름제작자가 제공한 자료로 뒷받침 되엇다. 결 론 : 본 연구는 X선 필름의 반응성을 그 현탁재질에 관련하여 이해하기 위한 해석적, 실험적인 도구를 제시하였다. Purpose : This study is intended to understand the sensitometric characteristics and the emulsion properties of the commercially available CEA TVS film in comparison with the Kodak X-Omat V film. Materials and Methods : For this purpose, we have formulated an analytic expression of the characteristic curves for x-ray film exposed to mixed radiation of electrons, photons, and visible light. This mathematical expression was developed based on reaction-rate and target-hit theories. Unlike previous expressions, it relates optical density to emuls ion properties such as grain size and silver bromide content. We have also developed a quantity which characterizes the film response to visible light relative to that to photons and electrons. This quantity could be expressed as a function of grain area. Thus, we have developed mathematical expressions and quantities with which the emulsion properties of the films can be revealed based on the sensitometric characteristics. Demonstrating the use of this analytical study, we exposed CEA and Kodak verification films to the mixed radiation of electrons, photons, and visible light, and interpreted the experimental results accordingly. Results : We have demonstrated that: (1) the saturation density increases as the silver bromide content increases, (2) the time required to reach the threshold dose (to which the film begins to respond) when films are exposed to visible light decreases as the grain size increases, and (3) the CEA film contains more silver bromide, whereas the Kodak film contains larger grains. These findings were supported by the data provided by the manufacturers afterward. Conclusion : This study presented an analytical and experimental basis for understanding the response of X-ray film with respect to the emulsion properties.